Individual
JENNIFER KAY DISIPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6381 EGRET DR APT 19, LAKELAND, FL 33809-6620
(863) 640-5302
Mailing address
6381 EGRET DR APT 19, LAKELAND, FL 33809-6620
(863) 640-5302
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT19120
FL
Other
Enumeration date
05/28/2017
Last updated
07/21/2022
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